Robert Stout

NPI #1558862524 in Charlevoix, Michigan

Provider Information

NPI Number: 1558862524
Entity Type: Individual
Name: Robert Stout
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 26, 2018
Last Updated: Feb 26, 2018

Practice Location

Address: 14676 W UPRIGHT ST
City: Charlevoix
State: Michigan
ZIP Code: 49720-1201
Phone: (231) 237-8012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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